Health and Wholeness Consult 
Remember, health is a journey!!  I, and the coaches at thewellteam.com, are here to help you find the next healthy habits that will have a huge impact!  

Fill out this form so I have a bigger picture of your concerns right now and can help connect you to the programs, habits and / or products that will assist you in your health journey!
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Name
How did you hear about The Well and/or Kari Davis Coaching?
What is your biggest concern in your health right now?
How long have you been struggling with this?
Check all the symptoms that apply to you on a regular basis
Give us a snapshot of your days.... 
Who do you live with? 
What do you do for work? 
Number of hours your work?
On a scale of 1-10 (10 being the highest) what is your daily stress level?
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How much sleep do you get and is it quality sleep?
Let's talk nutrition.  Please elaborate as much as possible.  It helps so much to know how you fuel your body!
Is there an eating philosophy or plan you stick to?
How much water do you drink a day? 
How much caffeine? 
Food intolerances? 
What is a typical day of meals? 
What time do you eat those meals?
How many grams of protein do you think you eat?
Do you get exercise?  What kind and how often?

What do you do to relax? Do you feel you recharge?  
How many hours a day would you say you are unplugged from screens and focused on calming activities (reading, sitting in quiet, listening to music, etc)
Have you started to think of how your beauty products are affecting your hormones?  Do you use natural products when possible or are you not worrying about it yet?
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